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Oklahoma rates for HCPCS 58301

Removal of intrauterine device (IUD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $933.25 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $104.71 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $97.72 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $363.08 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $102.33 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $141.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $138.04 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $131.83